Individual provider · Type 1 NPI

Gordon Wong

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1225567472 Active

Practice location

1441 N 12th St Fl 3
Phoenix, AZ 85006-2837

Call (602) 521-5977 Map

Fax (602) 521-5904

Mailing address

1441 North 12th Street 3rd Floor
Phoenix, AZ 85006

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225567472

Gordon Wong's National Provider Identifier is 1225567472, issued on Jun 9, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 21, 2022.